ANGAIR  MEMBERSHIP  FORM

If you would like to become a member of ANGAIR, please print out this form, fill it in and send it with your subscription to the address indicated.  Please include a cheque or money order made payable to ANGAIR Inc.
 

MEMBERSHIP FORM                                                    ANGAIR Inc                     Full Name A:  ______________________________________ Full Name B:  ______________________________________ Dependent Family Members: ___________________________ _________________________________________________ Address: __________________________________________ _____________________________________Postcode: ____ Telephone(s): _______________________________________ Email: ____________________________________________   ANGAIR Inc.   (R/n A0002974W)  P.O. Box 12 ANGLESEA 3230 Phone/Fax: (03) 5263 1085  Please indicate your option:    SUBSCRIPTION    /   NEW  /   RENEWAL                                       SINGLE or FAMILY $20.00   /     PENSIONER(S) $14.00  NB: Subscription rates apply to a calendar year.  New members joining at the time of the Annual Wildflower Show in September, receive three months "bonus" membership. Pension Card No ______________ NB: Pension rate does not apply to Seniors Card or Commonwealth Seniors Health Card. Donation $ ____________             Amount Paid $ ____________ Donations of $2.00 and over are tax deductible.